Retrotracheal goiter: a diagnostic and therapeutic problem.

Autor: Waldron D; Department of Thoracic Surgery, St. Vincent's Hospital, Dublin, Ireland., Coffey J, Murphy S, Bresnihan E, Finnegan P, Lynch V
Jazyk: angličtina
Zdroj: The Annals of thoracic surgery [Ann Thorac Surg] 1990 Jul; Vol. 50 (1), pp. 133-5.
DOI: 10.1016/0003-4975(90)90106-g
Abstrakt: A patient with chronic cough and recent dysphagia was found to have a retrotracheal mass extending into the visceral mediastinum on chest roentgenogram. A computed tomographic scan confirmed a retrotracheal lesion, which was believed to be of lymphatic origin. A thyroid scan demonstrated downward displacement of the left lobe but little uptake in the mass. Histological findings of mediastinal biopsies were inconclusive. A large retrotracheal thyroid adenoma was easily excised through a right thoracotomy. The approach to diagnosis and, in cases of doubt, the safety of surgical access through thoracotomy for thyroid lesions in this unusual site is discussed.
Databáze: MEDLINE